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DIFFERENTIAL DIAGNOSIS OF COMMON GYNECOLOGICAL COMPLAINTS . . . CONT.

INGUINAL LYMPHADENOPATHY

Infectious HSV syphilis chancroid granuloma inguinale (D. granulomatis)

Malignant vulvar ca vaginal ca anal ca lymphoma

PELVIC MASS

Uterus, Asymmetrical leiomyomata leiomyosarcoma

Uterus, Symmetrical pregnancy adenomyosis endometrial ca

Adnexal, Ovarian corpus luteum cyst follicular cyst theca lutein cyst endometrioma inflammatory cyst (tubo-ovarian abscess) luteoma of pregnancy polycystic ovary benign neoplasms • dermoid cyst (most common) malignant neoplasms • granulosa cell tumour (most common)

Adnexal, Non-ovarian gynecological • ectopic pregnancy • pelvic adhesions • paratubal cysts • pyosalpinx/hydrosalpinx • leiomyomata or fibroids • primary fallopian tube neoplasms gastrointestinal • appendiceal abscess • diverticular abscess • diverticulosis, diverticulitis • carcinoma of rectum/colon genitourinary • distended bladder • pelvic kidney • carcinoma of the bladder

DYSPAREUNIA

a t r o p h i c v a g i n i t i s c h e m i c a l v a g i n i t i s l i c h e n s c l e r o s i s C a n d i d a v u l v o v a g i n i t i s T r i c h o m o n a s v a g i n i t i s a c u t e o r c h r o n i c P I D endometriosis fibroids a d e n o m y o s i s c o n g e n i t a l a b n o r m a l i t i e s o f v a g i n a e . g . s e p t a t e v a g i n a

MCCQE 2000 Review Notes and Lecture Series

Notes

Gynecology 5

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